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,1
Program of Molecular and Clinical Pharmacology, Faculty of Medicine;
* Laboratory of Gene Therapy, Department of Pharmacological and Toxicological Chemistry, Faculty of Chemical and Pharmaceutical Sciences and Millennium Institute for Advanced Studies in Cell Biology and Biotechnology, University of Chile, Santiago, Chile; and
Department of Pathology, Anatomy and Cell Biology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
1Correspondence: Laboratory of Gene Therapy, Department of Pharmacological and Toxicological Chemistry and Millennium Institute-CBB, University of Chile. Olivos 1007, Santiago, RM 838-0492 Chile. E-mail: Yedy.Israel{at}jefferson.edu
| ABSTRACT |
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Key Words: alcoholism penetrance mitochondria mtDNA polymorphism
| INTRODUCTION |
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Both in humans and rats, aldehyde dehydrogenase (ALDH2) oxidizes acetaldehyde, an aversive metabolite generated in the oxidation of ethanol. In humans, a point mutation in the aldehyde dehydrogenase gene leads to an inactive enzyme (ALDH2*2) (10
11
12)
. Fifteen to 40% of the population of East Asia carry the ALDH2*2 allele. When these individuals consume ethanol they display 5- to 20-fold higher blood levels of acetaldehyde than subjects who only carry the active ALDH2*1 allele. Subjects carrying the ALDH2*2 allele show marked vasodilation, dysphoria, and nausea when consuming ethanol (13)
. Heterozygous ALDH2*2/ALDH2*1 subjects are protected by 6675% against alcohol abuse and alcoholism, while ALDH2*2/ALDH2*2 homozygous subjects are virtual abstainers (11
, 14
15
16)
.
Recently, a mutation in the Aldh2 gene (lower case nomenclature used for rodents) was shown to strongly segregate with voluntary ethanol consumption in Wistar-derived rats (17)
. Low alcohol-consuming (UChA) rats display a point mutation in the Aldh2 gene that changes glutamine-67 (Aldh21 allele) into arginine-67 (Aldh22 allele) in the enzyme coded. The Aldh22 allele was found in 97% of low-drinker rats (UChA) but was always absent from high-drinker rats (UChB). The high-drinker line (in addition to Aldh21) carried a third allele (Aldh23) in 42% of the animals. The Aldh23 was never present in low drinkers. Thus, Aldh22 and Aldh23 are specific for low and high drinkers, respectively, in these lines. The Aldh23 allele codes for arginine-67 but also contains a second point mutation that changes glutamic-479 into lysine-479 (17)
. These point mutations in rat Aldh2 are different from those in human ALDH2 (Glu-487 into Lys-487) (18
, 19)
.
The ALDH2 of rats homozygous for the Aldh22 allele shows a Km for NAD+ 4- to 5-fold higher than those for ALDH2 s of rats homozygous for Aldh23 or Aldh21 (17)
. Such a difference might constitute a mechanism leading to low ethanol consumption due to lower rates of acetaldehyde metabolism.
Although mammalian ALDH2 is coded by a nuclear gene, the enzyme is inserted into mitochondria, where the NADH generated in the oxidation of acetaldehyde is reoxidized back to NAD+ by complex I (NADH-ubiquinone oxidoreductase) of the respiratory chain. Thus, the in vivo ability to metabolize acetaldehyde depends not only on the kinetic properties of ALDH2, but on the ability of mitochondrial complex I to reoxidize the NADH generated to NAD+. Complex I is formed by proteins encoded by nuclear (autosomal and X chromosome) genes and mitochondrial (maternally transmitted) genes (20
21
22
23)
.
When animals are selectively bred for a desirable trait, the animals not only retain wanted genes but also exclude genes that may counteract the expression of the former. Incomplete penetrance of a gene may result when opposing genes present in the original pool are recovered, for example as the result of mating with animals from the original stock or with animals of opposite traits. The existence of epistasis, in which one gene abolishes the phenotypic expression of another gene (24)
, likely explains the fact that associations observed between polymorphisms and a specific disease in one population are often not observed in other populations (see ref25
). These interactions are difficult to investigate in transgenic or knockout animals, but can be addressed by crossing animals bred for opposite traits (e.g., high alcohol consumers and low alcohol consumers) and studying the F2 offspring for their phenotype and their genetic and biological characteristics. The aim of this study was to determine whether in homozygous Aldh22/Aldh22 rats of the F2 generation derived from the two extreme phenotypes of alcohol consumption, Complex I activity influences 1) acetaldehyde oxidation by intact mitochondria, 2) in vivo acetaldehyde metabolism, and 3) voluntary ethanol consumption. Studies presented here show that differences in complex I activity of F2 rats either allow or fully abolish the phenotypic expression of the Aldh22/Aldh22 genotype on the variables indicated above. These studies constitute the first demonstration of the role of the mitochondrial electron transport ability on voluntary ethanol consumption and the relevance of maternal effects on the penetrance of a polymorphism in the area of alcohol abuse and alcoholism.
| MATERIALS AND METHODS |
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Animal intercrossing
Crossings started with twelve F0 rats: six UChA rats that were homozygous Aldh22/Aldh22 (GenBank: AY566468), with a voluntary ethanol consumption phenotype of 0.7 ± 0.4 g ethanol·kg1·day1 (means±SE) and six UChB rats that were homozygous for Aldh23/Aldh23 (GenBank: AY566469) with a 6-fold difference in voluntary ethanol consumption phenotype of 4.4 ± 0.5 g ethanol·kg1·day1 (P<0.001). The F1 generation comprised 44 offspring, which were not phenotyped for alcohol intake and thus were alcohol naive. Subsequently, F1 animals were crossed such that no siblings were mated. Rats of the F2 generation born from the crossing of F1 animals were 108 animals, which can be grouped according to their maternal line origin (Fig. 1
):
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1) Group #1 comprised F2 rats (males and females) born to a F1 hybrid mother that was the offspring of a F0 low-drinker mother (and a F0 high-drinker father). Group #1 had 26
and 36
F2 rats. For simplicity these animals are referred to as derived from the "UChA low-drinker maternal line."
2) Group #2 comprised F2 rats (males and females) born to a F1 hybrid mother that, in turn, was the offspring of a F0 high-drinker mother (and a low-drinker father). Group #2 had 18
and 28
F2 rats. For simplicity these animals are referred to as derived from the "UChB high-drinker maternal line."
Voluntary ethanol consumption
Two-month-old rats of the F2 generation were housed in individual cages and permanently offered the choice of a 10% v/v ethanol solution or water from two tubes and food ad libitum. After 23 months, when ethanol and water preferences stabilize, the mean ethanol consumption of the last 30 drinking days was averaged to obtain the mean ethanol consumption for each animal, and expressed as g ethanol·kg body weight1·day1.
Genotyping of F2 animals
After determining voluntary ethanol consumption, rat tail blood was sampled for genotyping of Aldh2 alleles (Aldh22, GenBank: AY566468, and Aldh23, GenBank: AY566469) according to Sapag et al. (17)
. Genotyping and alcohol consumption phenotypes were conducted under a double blind design.
Acetaldehyde disappearance rates
To determine the in vivo rate of acetaldehyde metabolism in hybrid F2 rats showing Aldh22/Aldh22 and Aldh23/Aldh23 genotypes in groups #1 and #2 above, acetaldehyde (75 mg/kg) was administered intraperitoneally as a 1.6% (w/v) solution in saline. Acetaldehyde levels were measured 2, 4, and 6 min after its administration in 0.1 mL samples of blood obtained from the superior sagittal blood sinus of previously anesthetized rats. The concentration of acetaldehyde was determined in whole blood by head space gas chromatography, according to Eriksson et al. (26)
. An ethanol peak was not found in any blood sample chromatogram, indicating that acetaldehyde was not reduced to ethanol by the alcohol dehydrogenase system.
Study of mitochondrial function
Mitochondrial acetaldehyde disappearance rates and mitochondrial O2 uptake were determined with acetaldehyde (0.1 mM) as substrate. Two additional substrates were used, glutamate (10 mM) and succinate (10 mM), which contribute electrons to complex I and complex II, respectively. The rate of O2 uptake was measured after addition (state 3) and exhaustion (state 4) of ADP. Liver mitochondria were prepared as described by Gil et al. (27)
. Mitochondrial O2 uptake was determined polarographically by the use of a Clark electrode as described previously (28)
. Acetaldehyde disappearance rates in mitochondria were determined at 36°C as described by Hasumura et al. (29)
. Acetaldehyde was measured at 0, 2, 4, 8, 10, and 12 min of incubation by head space gas chromatography.
Statistical analysis
Results were expressed as means ± SE. Differences were analyzed by Students t test.
| RESULTS |
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Alcohol consumption of F2 animals of different Aldh2 genotypes and maternal lines
The voluntary ethanol consumption of the complete cohort of F2 hybrid rats was compared with the two original F0 lines. The F2 rats consumed higher amounts of ethanol (2.6±0.35 g/ethanol·kg1·day1) than the original low-drinker F0 UChA line (0.7±0.4 g ethanol·kg1·day1) and lower amounts of ethanol than the original high-drinker F0 UChB line (4.4±0.5 g ethanol·kg1·day1), with a marked variation between individual animals. Among these, homozygous F2 Aldh22/Aldh22 rats in group #2 derived from high-drinker F0 females (and low-drinker F0 males) showed markedly higher (P<0.005) ethanol consumption (3.9±0.5 g·kg1·day1) than F2 homozygous Aldh22/Aldh22 rats of group #1 derived from low-drinker F0 females (and high-drinker F0 males) (1.8±0.4 g·kg1·day1) (Fig. 2
). In F2 rats carrying the Aldh23/Aldh23 genotype, the maternal line did not influence alcohol consumption; alcohol consumption of group #1 Aldh23/Aldh23 rats was virtually identical to that of group #2 Aldh23/Aldh23 rats (Fig. 2)
. For heterozygous Aldh22/Aldh23 rats the influence of the maternal line on ethanol consumption was small and did not reach statistical significance (Fig. 2)
.
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Data obtained indicate a strong potentiation of the Aldh22/Aldh22 genotype and other gene(s) transmitted through the maternal line. Due to the mitochondrial location of ALDH2, a possible explanation was a change in the maternally transmitted ability of complex I to reoxidize NADH. Thus, we investigated whether F2 Aldh22/Aldh22 rats arising from either the low or high consumption maternal lines (groups #1 and #2) differed with respect to 1) oxidation of acetaldehyde by isolated mitochondria, 2) mitochondrial O2 consumption with substrates that provide electrons to complex I of the mitochondrial respiratory chain, such as acetaldehyde and glutamate, 3) mitochondrial oxygen consumption when the substrate was succinate, an electron donor at the complex II site, and 4) blood acetaldehyde disappearance after its in vivo administration.
Mitochondrial function
Studies were conducted in F2 rats genotyped as Aldh22/Aldh22 of groups #1 and #2 to determine the rate of acetaldehyde oxidation by intact rat liver mitochondria in either the absence (state 4) or presence (state 3) of ADP. As can be seen (Table 1
), the rate of acetaldehyde metabolism was significantly lower in mitochondria of rats of group #1 (UChA low-drinker maternal line) than in mitochondria of rats of group #2 (UChB high-drinker maternal line) in states 4 and 3. The same group differences were observed for O2 uptake in state 3 with glutamate as substrate, which contributes NADH for complex I of the mitochondrial respiratory chain (Table 2
). Conversely, no maternal line differences in oxygen consumption were observed with succinate, a mitochondrial complex II substrate (Table 2)
.
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Acetaldehyde disappearance rate
An intraperitoneal dose of acetaldehyde of 75 mg/kg was administered to F2 hybrid rats of groups #1 and #2 genotyped either as homozygous Aldh22/Aldh22 or Aldh23/Aldh23 (Aldh22/Aldh23 animals were not studied). Direct administration of acetaldehyde avoids possible changes in the generation of acetaldehyde that may occur when ethanol itself is administered. Table 3
shows that F2 Aldh22/Aldh22 animals in group #1 (low-drinker maternal line) display a significantly lower rate of acetaldehyde disappearance than F2 Aldh22/Aldh22 rats of group #2 (high-drinker maternal line) and a lower rate than F2 rats genotyped as Aldh23/Aldh23 of groups #1 and #2. Since the rate of acetaldehyde disappearance is related to the rate of electron flow in the respiratory chain (31)
, these data again suggest that in F2 Aldh22/Aldh22 rats the rate of acetaldehyde metabolism in vivo is limited by the ability of intact mitochondria to regenerate NAD+ from NADH at complex I.
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| DISCUSSION |
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The Aldh22/Aldh22 genotype correlated with a low alcohol consumption phenotype only when ALDH22 was inserted into mitochondria having a reduced ability to reoxidize NADH by complex I, and thus a reduced ability to replenish NAD+ for ALDH22. A reduced ability to regenerate NAD+ is expected to have a greater influence on the lower affinity ALDH22 (high Km for NAD+) than on the higher affinity ALDH23 (low Km for NAD+). This was indeed the case: mitochondria from the maternal low-drinker line did not influence voluntary ethanol intake of F2 rats with the Aldh23/Aldh23 genotype.
Mitochondria derived from the low-drinker maternal line showed significantly lower rates of O2 consumption with acetaldehyde and glutamate as substrates (which enter electrons at the NADH:ubiquinone reductase or complex I), but were normal when succinate was used as substrate (a complex II substrate). Mitochondria of animals derived from a low-drinker UChA maternal line (and a high-drinker UChB father) and carrying the Aldh22/Aldh22 genotype showed lower rates of acetaldehyde metabolism than Aldh22/Aldh22 animals derived from the high-drinker UChB maternal line. The maternal line did not influence the in vitro or in vivo acetaldehyde metabolism of F2 rats carrying the Aldh23/Aldh23 genotype.
Many genes exist that are either permissive or protective for the development of alcoholism in humans (3)
. In rats, breeding studies have allowed a relative estimate of the number of genes associated with high- and low drinking. Le and co-workers (8)
, who started their breeding program with the highly heterogeneous strain developed at the National Institutes of Health from the crossing of eight different rat strains (30)
, showed that ethanol voluntary consumption in the high-drinking line increased steadily after each crossing for seven or eight generations, confirming the existence of several permissive (and likely additive) genes in the original stock. On the other hand, the low-drinking line stabilized its ethanol consumption in only two generations, indicating the existence of a smaller number of potent protective genes. The fact that mitochondrial genes pass almost exclusively from the mother to all offspring (31)
may add to the rapidity of acquisition of the low consumption phenotype. This observation is in agreement with reports by Mardones and Segovia-Riquelme (4)
for the Wistar-derived rat lines used in the present study and by Li and co-workers, who started their selective breeding with the heterogeneous NIH line (T.-K. Li, personal communication). From the data obtained in our studies, it can be estimated that the combination of the Aldh22/Aldh22 genotype plus a low activity mitochondrial complex I accounts for 5060% of the difference in ethanol intake between the original UChA and UChB lines, which were kept for decades under selective breeding for their differences in ethanol intake.
In humans, an example of gene addition leading to a reduced ethanol consumption is seen in East Asians, a population with the highest prevalence of a high-activity alcohol dehydrogenase (ADH1*B; formerly ADH2-2) and an inactive ALDH2 (ALDH2*2) (32
, 33)
. The combination of these factors has been shown to have an additive effect in protecting subjects against alcoholism (34
, 35)
. Lin and Cheng (36)
have hypothesized that the ALDH2*2 allele was selected as a protective mechanism against mortality due to the combined effects of a high ethanol consumption and hepatitis B, in a geographic area with a high prevalence of the latter condition. The explanation may hold for the high prevalence of ADH1*B. The possibility that abnormalities in mitochondrial genes that control the rate of electron flow may have been selected in some populations is worth investigating. An analysis of mitochondrial DNA in alcoholics in Japan showed a 491 bp deletion (as heteroplasmy) in the ATPase gene, coded by mtDNA, in 58% of cases, while this deletion was not observed in controls (37)
. An abnormal ATPase may lead to an abnormal coupling of oxidation and phosphorylation, resulting in an increased electron flow though the respiratory chain, thus facilitating NADH and acetaldehyde oxidation. In such a case, protection due to circulating acetaldehyde would be abrogated. While alcohol consumption per se may lead to various mutations and heteroplasmy in mitochondrial DNA (38)
, the probability that the same 491 bp deletion could have resulted from alcohol consumption in all cases is highly unlikely.
The present studies do not allow us to conclude whether the maternal transmission of the mitochondrial abnormalities in complex I is of X chromosomal or mitochondrial genetic origin, although it is known that direct genetic transmission of mitochondrial DNA occurs only through the maternal line. The possibility of an immediate ethanol-related genomic imprinting was likely avoided by not allowing alcohol access to the F1 rat generation. More likely, the mitochondrial abnormalities observed in complex I in low-drinker UChA rats were selected in the very process of breeding for the low-ethanol consumption phenotype. Mitochondrial complex I is a multiunit protein formed by proteins coded by nuclear genes and mitochondrial genes (20
21
22
23)
. The small (16 kb) circular mitochondrial DNA encodes seven protein units of the multiunit complex I (21)
. The full genome of rat mtDNA is known, which should facilitate its sequencing in animals derived from UChA and UChB maternal lines. An additional X chromosome gene encoding the MWFE polypeptide is required for the assembly of all the proteins that form complex I (22)
.
Overall, our data show that a lower mitochondrial (complex I) ability to reoxidize NADH, transmitted through the maternal line, potentiates the effects of a mutation in Aldh2 that codes an ALDH22 with a lower affinity for NAD+. The combination of both factors strongly segregates with a low-ethanol consumption phenotype in rats.
| ACKNOWLEDGMENTS |
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Received for publication May 25, 2004. Accepted for publication August 17, 2004.
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